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General NPI Number Information
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NPI Number | 1093587495
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Entity Type | Individual
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Provider Name | MARIE-CHRISTY ROYAL
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Gender | Female
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 677 CHURCH ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-1101
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Country | US
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Telephone | 770-793-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1179 HARVEST BROOK DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7541
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Country | US
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Telephone | 678-899-1116
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN299948
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License Number State | GA
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